Utility of Goal Attainment Scaling (GAS) in evaluating a multicomponent exercise programme for community-dwelling pre-frail older adults

Autor: Jinjing Wang, Lin Xie, Jianping Ren, Juan Fang, Xiantao Qiu, Shiyan Zhang, Shuang Yuan, Liangfeng Wu, Le Yu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Family Medicine and Community Health, Vol 12, Iss 1 (2024)
Druh dokumentu: article
ISSN: 2305-6983
2009-8774
DOI: 10.1136/fmch-2023-002410
Popis: Objectives This study aimed to investigate the effectiveness of Goal Attainment Scaling (GAS) in assessing an intervention for pre-frail senior citizens. Additionally, the study aimed to explain how the GAS goals were established based on the International Classification of Functioning, Disability and Health (ICF) categories, including body function, activity and participation and environmental factors.Methods In this study, 220 pre-frail older adults were randomly selected to participate in a controlled trial. The intervention group engaged in multicomponent exercise three times a week, once at a community health service location and twice at home. The control group received advice on physical activity but did not have supervised exercise. Participants in both groups selected individualised GAS goals from 23 goals developed based on ICF by focus group discussion. The study used generalised estimating equations to analyse the differences between the groups.Results The study included 144 participants, 72 in the exercise group and 72 in the control group. The top three individualised goals for all participants were vestibular functions (53.5%), pain management (43.1%) and lifting and carrying objects (31.9%). Both groups saw a significant increase in GAS scores at week 8 and week 24 of the intervention (p
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